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2018, Number 3

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Rev Cub Oftal 2018; 31 (3)

Modified gonioscopy-assisted trabeculotomy, a minimally invasive surgical alternative for glaucoma

Fumero GFY, Piloto DI, Fernández AL, Domínguez RM, Obret MI, Chaviano LG

Language: Spanish
References: 64
Page: 1-9
PDF size: 345.83 Kb.


ABSTRACT

In a disease such as glaucoma, considered the second main cause of blindness both in Cuba and worldwide, surgical treatment has experienced surprising development, and simpler, more effective alternatives as well as a quiet postoperative period are constantly sought. At the glaucoma department of the Cuban Institute of Ophthalmology a modification has started to be performed of gonioscopy-assisted trabeculotomy. It would be interesting to present it by describing the short-term postoperative evolution of the clinical case of a 72-year-old male patient with cataract and decompensated glaucoma despite medical treatment. At presentation, the patient's vision was 50 VAR and intraocular pressure 26 mmHg. Combined surgery was performed: phacoemulsification and modified gonioscopy-assisted trabeculotomy. Six months after surgery, intraocular pressure was 18 mmHg and best corrected visual acuity was 100 VAR.


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